Thrive Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THRIVE NUTRITION, LLC

Practice address

4729 Mockernut CT SW
None
Lilburn, GA 30047-3004

Phone

(404) 376-1496

NPI assigned

Aug 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Richardson, MS, RDN, LD

Title

Owner

Phone

(404) 376-1496

Specialties & licenses 1

Addresses

Other names 1

• Thrive Nutrition Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1619525334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 MOCKERNUT CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474366",
            "telephone_number": "404-376-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 MOCKERNUT CT SW",
            "address_2": "NONE",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473004",
            "telephone_number": "404-376-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-376-1496",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.